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Opinion|Videos|March 27, 2025

First-Line Therapy for Advanced HCC: The Role of TKIs and ICIs

Author(s)Richard S. Finn, MD, Amit Singal, MD

Panelists discuss how current first-line systemic therapies for advanced hepatocellular carcinoma (HCC) include atezolizumab + bevacizumab and durvalumab + tremelimumab, replacing tyrosine kinase inhibitors (TKIs) like sorafenib and lenvatinib. Emerging combinations with anti–PD-L1 agents enhance efficacy. TKI + immune checkpoint inhibitor (ICI) combinations offer synergistic benefits but pose toxicity, cost, and biomarker challenges.

Episodes in this series

2 experts in this video

EP. 1 Current Treatment Practices in Embolization-Eligible HCC

2 experts in this video

EP. 2 When to Move Beyond TACE: The Expanding Role of Systemic Therapy in Intermediate-Stage HCC

2 experts in this video

EP. 3 Navigating the Evolving First-Line Treatment Regimens in Intermediate-Stage HCC

2 experts in this video

EP. 4 Considerations for Treatment Approaches in Intermediate-Stage HCC

2 experts in this video

EP. 5 First-Line Therapy for Advanced HCC: The Role of TKIs and ICIs

2 experts in this video

EP. 6 Lenvatinib in Advanced HCC: Considerations for Monotherapy and Combination Regimens

2 experts in this video

EP. 7 Second-Line Therapy in Advanced HCC: Treatment Considerations and Evolving Options

2 experts in this video

EP. 8 The Evolving Role of Lenvatinib in the HCC Therapeutic Landscape

Video content above is prompted by the following:

Briefly discuss current approved first-line systemic therapies for advanced HCC.
How are emerging combination strategies, particularly with anti–PD-L1 agents, reshaping the first-line treatment landscape?
What are the potential advantages of TKI + ICI combinations compared with TKI monotherapy?
Please also discuss potential challenges.

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